# LAWRENCE J WEISS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194709410
- **Authorized official:** DR. LAWRENCE J WEISS DDS (DENTIST OWNER)
- **Authorized official phone:** (516) 764-3062

## Contact information

- **Practice address:** 3131 LAWSON BLVD, OCEANSIDE, NY 11572-3717
- **Practice address phone:** (516) 764-3062
- **Practice address fax:** (516) 764-0266
- **Mailing address:** 3131 LAWSON BLVD, OCEANSIDE, NY 11572-3717
- **Mailing address phone:** (516) 764-3062
- **Mailing address fax:** (516) 764-0266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 043555 | NY | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 08/22/2020
